Fluoroscopic-Guided Removal of Jejunal Sharp Foreign Body: An Alternative Approach to Surgery

Introduction. Foreign body (FB) ingestion represents a frequently encountered scenario in clinical practice. Most ingested FBs typically pass spontaneously, requiring no intervention. Endoscopic removal stands out as the least invasive method, with only a minimal 1% needing surgical intervention. Ca...

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Main Authors: Abdulrahman Qatomah, Simon McQueen, Wafa Qatomah, Aishah Qatomah, Ali Bessissow
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2024/5117360
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author Abdulrahman Qatomah
Simon McQueen
Wafa Qatomah
Aishah Qatomah
Ali Bessissow
author_facet Abdulrahman Qatomah
Simon McQueen
Wafa Qatomah
Aishah Qatomah
Ali Bessissow
author_sort Abdulrahman Qatomah
collection DOAJ
description Introduction. Foreign body (FB) ingestion represents a frequently encountered scenario in clinical practice. Most ingested FBs typically pass spontaneously, requiring no intervention. Endoscopic removal stands out as the least invasive method, with only a minimal 1% needing surgical intervention. Case Presentation. We present a case of a 30-year-old male who ingested multiple FBs located in the stomach and small bowel. While successful removal of the stomach FB was achieved through endoscopy, the second FB in the small bowel proved challenging due to perforation concerns and limited expertise. Given a history of prior surgical intervention resulting in a large incisional hernia, surgical removal was discouraged. Consequently, a collaborative decision involving surgeon and interventional radiologist (IR) led to the adoption of a fluoroscopic-guided removal approach facilitated by IR techniques. Conclusion. This case highlights the potential for a less invasive alternative in situations where both endoscopic and surgical interventions are deemed not feasible.
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institution Kabale University
issn 2090-6536
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publishDate 2024-01-01
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series Case Reports in Gastrointestinal Medicine
spelling doaj-art-2c103c268b6344e2bfda49f6dc96579c2025-02-03T11:08:00ZengWileyCase Reports in Gastrointestinal Medicine2090-65362024-01-01202410.1155/2024/5117360Fluoroscopic-Guided Removal of Jejunal Sharp Foreign Body: An Alternative Approach to SurgeryAbdulrahman Qatomah0Simon McQueen1Wafa Qatomah2Aishah Qatomah3Ali Bessissow4Department of Gastroenterology and HepatologyDepartment of RadiologyDepartment of RadiologyDepartment of MedicineDepartment of RadiologyIntroduction. Foreign body (FB) ingestion represents a frequently encountered scenario in clinical practice. Most ingested FBs typically pass spontaneously, requiring no intervention. Endoscopic removal stands out as the least invasive method, with only a minimal 1% needing surgical intervention. Case Presentation. We present a case of a 30-year-old male who ingested multiple FBs located in the stomach and small bowel. While successful removal of the stomach FB was achieved through endoscopy, the second FB in the small bowel proved challenging due to perforation concerns and limited expertise. Given a history of prior surgical intervention resulting in a large incisional hernia, surgical removal was discouraged. Consequently, a collaborative decision involving surgeon and interventional radiologist (IR) led to the adoption of a fluoroscopic-guided removal approach facilitated by IR techniques. Conclusion. This case highlights the potential for a less invasive alternative in situations where both endoscopic and surgical interventions are deemed not feasible.http://dx.doi.org/10.1155/2024/5117360
spellingShingle Abdulrahman Qatomah
Simon McQueen
Wafa Qatomah
Aishah Qatomah
Ali Bessissow
Fluoroscopic-Guided Removal of Jejunal Sharp Foreign Body: An Alternative Approach to Surgery
Case Reports in Gastrointestinal Medicine
title Fluoroscopic-Guided Removal of Jejunal Sharp Foreign Body: An Alternative Approach to Surgery
title_full Fluoroscopic-Guided Removal of Jejunal Sharp Foreign Body: An Alternative Approach to Surgery
title_fullStr Fluoroscopic-Guided Removal of Jejunal Sharp Foreign Body: An Alternative Approach to Surgery
title_full_unstemmed Fluoroscopic-Guided Removal of Jejunal Sharp Foreign Body: An Alternative Approach to Surgery
title_short Fluoroscopic-Guided Removal of Jejunal Sharp Foreign Body: An Alternative Approach to Surgery
title_sort fluoroscopic guided removal of jejunal sharp foreign body an alternative approach to surgery
url http://dx.doi.org/10.1155/2024/5117360
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AT aishahqatomah fluoroscopicguidedremovalofjejunalsharpforeignbodyanalternativeapproachtosurgery
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